| NPI | 1417661000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11044661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN766279) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2026-01-15 |